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DNA Extraction from Paraffin-Embedded Tissues Part one: 1- The most important factor affecting DNA quality is the type of fixative employed and the duration of fixation. Tissues fixed between 12 and 24 h in ethanol, acetone, Omnifix, or 10% buffered formalin usually yield good-quality DNA; but B-5, Zenker’s, or Bouin’s solutions, or duration of fixation longer than 5 d, are poor prognostic factors for PCR productivity. 2- Prior studies showed that when the length of β-globin amplification product increased (175, 324, and 676 bp), the percentage of fixed tissues containing amplifiable DNA decreased (100, 69, and 45%). And when the age of a block increased, PCR productivity decreased, although some blocks stored for more than 40 yr were successfully studied . 3- Use a microtome to cut five sections, 5–20 µm thick, from a paraffin block. 4- Place these directly into a 1.5-mL microfuge tube. 5- The thickness of the sections depends on the size of the biopsy. 6- For a small biopsy (up to 3 mm), 20-µm thick sections may be required. 7- A large biopsy requires only 5-µm thick sections. 8- Although multiple thin sections can be placed in a single tube. 9- Fewer thick sections are more practical for processing. 10- Add 800 µL of xylene to each tube, close, mix by gentle vortexing, and then incubate at room temperature for 10 min. 11- Pellet the tissue by centrifugation for 3 min in a microfuge at full speed. 12- Carefully remove and discard the supernatant using a pipet; do not disturb the tissue. If any translucent white paraffin remains, repeat the xylene wash one to two more times. 13- Add 800 µL of 100% ethanol to each tube, close the lid, and mix by inverting. 14- Pellet the tissue by centrifugation for 3 min in a microfuge at full speed, and carefully remove and discard the supernatant with a pipet. 15- Repeat the ethanol wash one more time, and remove as much supernatant as possible. 16- Open the tubes and let the residual ethanol evaporate by incubating in a dry heat block at 55°C for 15–30 min or until the sample is completely dry. (Speed vacuum drying is not recommended because of the risk of contamination.) Part Two: 1- To the dried tissue samples add 100 µL of TEN buffer (TEN buffer: 10 mM Tris-HCl, pH 8.0, 1 mM EDTA, pH 8.0, 20 mM NaCl )containing 200 µg/mL of proteinase K (prepared by mixing 1 µL of proteinase K stock solution(20 mg/mL) in 100 µL of TEN buffer). Large tissue samples should be resuspended in 200 µL or more of this solution. 2- Close the tubes and incubate at 55°C for 3 h. (Large tissues should be incubated overnight.) 3- Spin briefly to remove any liquid from the cap. Cover the caps tightly with cap locks to prevent them from popping open during high-temperature incubation. Incubate in a 95°C heat block for exactly 10 min to inactivate the proteinase K . 4- Longer incubation at 95°C may damage DNA, whereas shorter incubation may not fully inactivate proteinase K. Additional time is needed for volumes >500 μL 5- Pellet the tissue in a microfuge at full speed for 10 min, and then transfer the supernatant to a clean tube and discard the pellet. Promptly proceed with PCR amplification. 6- Quantitation of DNA is not recommended; rather, the amount of supernatant required for subsequent DNA amplification is determined empirically. Try 1- and 10-µL vol of the supernatant as a template for a 100-µL PCR amplification. If PCR products are not generated, then different volumes can be tried. A positive control reaction (e.g., β-globin) should be run to ensure that amplifiable DNA of similar length to the target DNA is present in the sample. 7- Store DNA at –20°C, and avoid thawing and refreezing. (Freshly prepared samples are more efficiently amplified than those stored frozen, perhaps because the freeze-thaw cycle damages DNA.) 8- The optimal amount of template for an amplification reaction depends on numerous factors specific to each sample, such as DNA concentration and presence of inhibitors. It is useful to test several concentrations of each template (e.g., 1 and 10 μL of template per 100-μL PCR). Large tissues may necessitate the use of a smaller fraction of the template (e.g., 0.1 μL). 9- The amount of template that is “tolerated” in a PCR may be affected by residual fixation chemicals or paraffin, excessive tissue debris, and other factors. If the first attempt fails, a 10fold dilution will often reduce inhibitors while still retaining enough DNA to allow amplification. 10- Amplification of DNA prepared from paraffin-embedded tissue is less efficient than amplification of DNA from fresh or frozen tissues. To compensate for this reduced efficiency, consider modifying the thermocycling parameters by increasing the number of cycles and lengthening the duration at each temperature within the cycle.